Healthcare Provider Details

I. General information

NPI: 1093638983
Provider Name (Legal Business Name): JODIE LYNN RODEWALD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JODIE HARRINGTON LCASA

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3770 SKYLAND DR
SYLVA NC
28779-8360
US

IV. Provider business mailing address

3770 SKYLAND DR
SYLVA NC
28779-8360
US

V. Phone/Fax

Practice location:
  • Phone: 828-399-1399
  • Fax: 828-475-0400
Mailing address:
  • Phone: 828-399-1399
  • Fax: 828-475-0400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS-31043
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: